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RNSG 2539 exam 3 Questions With Complete Solutions
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RNSG 2539 exam 3 Questions With Complete Solutions
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RNSG 2539 exam 3 Questions With Complete SolutionsABCDEs of melanoma Correct Answer asymmetry, border,
color, diameter, evolution
areas of brain affected by coup-countercoup injury Correct
Answer frontal and occipital lobes
assessment and diagnostic findings for neurogenic bladder
Correct Answer measurement of fluid intake, urine output, and
residual urine volume; urinalysis; and assessment of sensory
awareness of bladder fullness and degree of motor control.
assessment findings for encephalopathy Correct Answer
Confusion, altered level of consciousness, forgetfulness
Poor judgment
Personality changes
Nervousness
assessment findings for urinary retention Correct Answer
frequency
straining when initiating
feeling of incomplete bladder emptying
Assessment for TBI Correct Answer }Be alert for following
signs:
◦Altered level of consciousness (LOC)
◦Confusion
◦Pupillary abnormalities
◦Altered or absent gag reflex
◦Sudden onset of neurological deficits
,◦Changes in vital signs
◦Vision or hearing impairment
◦Sensory dysfunction
◦Motor response
◦Headache
Seizures
Breast Cancer Education Correct Answer -prevent risk factors
-advise genetic testing for family history
-pain control
-range of motion exercises to restore arm function
-self care
-elevation, massage, compression to prevent lymphedema
can a family member overturn a patients desire to be an organ
donor upon death Correct Answer yes
Cardinal signs of brain death Correct Answer Coma
Absence of brain stem reflexes
Apnea
cause of decreased in bp, hr and cardiac output as well as venous
pooling in a patient suffering a spinal cord injury Correct
Answer loss of autonomic nervous system function
causes of encephalopathy Correct Answer most common type -
hepatic encephalopathy (liver cirrhosis)
other causes
-infections
-toxicity (chemical exposure)
, -hypoxia
-genetic disorders of metabolism
chemical burns Correct Answer caused by contact with
chemicals that can burn the skin
Treat by flushing burn with lots of cool water to remove
chemical, or brush powdered chemical off skin with clean cloth
classic concussion Correct Answer }Involves a temporary loss
of consciousness
◦Usually less than five minutes
◦No longer than six hours
◦Retrograde or posttraumatic amnesia always present
◦May have headaches, dizziness, vertigo, nausea, visual
disturbances, difficulty in concentration, poor memory, behavior
disorders, irritability, anxiety, or insomnia
clinical manifestation that can increase ICP causing brain stem
damage Correct Answer hyperthermia
clinical manifestations associated with burns Correct Answer
AKI
Cardiovascular problems
Severe edema for the first 24 hours.
Hyper-metabolic state as body tries to protect and heal itself.
Circulatory compromise
Compartment syndrome
clinical manifestations of autonomic dysreflexia Correct
Answer bradycardia and hypertension
cool clammy skin below injury, flushing above injury
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